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MC-09-1662BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) Owner's Address 0 UJ e City M,1 04% h ©u & State Tenant/Lessee Name 1 A. Email City ,� S to 'FL ce ni l t r t al Fee (5000 Permit Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. MC — 10(049\ Master Permit No. ff./ O r 139 P1 iwd A61 tk) \/1/0 1 d Phone# ‘05) lcir F Lo b ik Zip 3 3) 5 Phone # cc) t\t., 0 11 St Job Address (where the work is being done) City Miami Shores Villa e County Miami -Dade Zip `, 5 7 'l 3'' FOLIO / PARCEL # E -mail ilagME'Vq11 OCT 0 9 2009 JD � B : eeeooeoeee000eaameae Is Building Historically Designated YES NO_ X Flood Zone Contractor's Company Name Kb .occe fk we SCI V iCe6 CO tp Phone # Contractor's Address Z1 1 1 - 3 4 4 TM t Zip 33015 Qualifier Name State Certificate or Registration No. 191 �[/ Q ii 'Certificate of Competency No. Contact Phone Phone # Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ I, 000 Type of Work: I pp ❑Alters ion ❑Ne fir^ El Repair/Replace � Demolition Describe Work: 'C. ' Y 1. v� 0 C Aft 1 Square / Linear Footage Of Work: RN i1P1 h Te r3�.� CCF $ O' (o,0 CO /CC $ Notary $ Training/Education Fee $ 0. d 0 Technology Fee $ 1 •D Scanning $ . Radon $ DPBR $ ,3 Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 101 . See Reverse side -* , ^ 3 Bonding Company's Name (if applicable) Bonding Company,'s City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIVILNCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be elivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must . e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The fore _ o day of , 20 _, by , day of �. 1.‘ , 20 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: (Revised 07 /10 /07XRevised 06/10/2009) Engineer i strument was acknowled ed befor NOTARY PUBLIC: as identification and who did take an oath. c'S C ct ' 6 v-" . 44 ,6f, 4 041' 1 , i , *., a ' s y t.. *** **** **** *********** *** * ********* ****JPns * ************* **** ** *** **** **'***lr*** *****9z (r� +4 sk`lr9:s@*ie9e *+Y*k APPROVED BY 11� 3 Ex aminer Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: Zoning Clerk checked STING JPPLY AT T 1 /8 " /FT. 5 F.U. _L 3 /4" w 0 W X • (;:t * IJ BEDROOM 0 80 CONNECT TO EXISTING 2 3" SAN /8:7FT, .9, F.U. 2W CO C2 CO4-NECT NEW 3" SANITARY { " PIPING TO 'EXISTING. `EXIST. UNDERGRO'I0 1 " COLD WATER PIPING. 3" VTR :G CTRICAL PLAN "=1 — STEM TANKLLSS WATER HEATER 110, 11 KW/2 ELEMENTS, OR MOUNTED IN CABINET. P UMBI ▪ G PLAN 1 w A. u.,l. aten- � k 5.� - l 4 ,, =1' T O ), DATE: 9 -14 -06 SHEET: • iles Mir1r T4 NTC ~AT, PLAN 1 /4 " +1' —o" MEF "OS. .• e o Vr O Z ..., v a c to .- u O { 0. EXISTING SEPTIC TANK. W8"/FT. 5 F.U. .LL 3/4" XISTING SUPPLY AT NST BEDROOM o c 3" SAN ©1/8:7FT, .9, F.U. 2W C 00G 80 CONNECT TO EXISTING 2 CONNECT NEW 3" SANITARY PIPING TO 'EXISTING. Q240.5, ""••-•„.„..„, 3/ C TT,' F-144" r 3" VTR ',a( TR CAL FLAN 1/4"=V-0" T `" UNDERGRa !Nb 1" COLD WATER PIPING. SETS STEM TANKLC.SS WATER HEATER MODE 110, 11 KW/ 2 ELEMENTS, OR EOLAL MOUNTED IN CABINET. wij t V fp ieTink P GP-vv•-. iv/ 4" tM,t Vud Of V+ PLUMBING PLANT 1/4"-V-0 7 MECHANICAL PLAN 1/4"=1' -0" MEP-1 2 DATE: I•• *• • ° * • • . 9-14-06